| NPI | 1528195567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 100647) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 73712) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2016-05-06 |